| Ms Sharon Alissa Johnson Brunson, MA CCC/SLP | |
|
397 Brookdale Dr, Orangeburg, SC 29115-3907 | |
| (803) 707-6962 | |
| (803) 937-5642 |
| Full Name | Ms Sharon Alissa Johnson Brunson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 397 Brookdale Dr, Orangeburg, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407026800 | NPI | - | NPPES |
| SA093 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2255 (South Carolina) | Primary |
| Provider Name | The Weston Group Of South Carolina Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073957064 PECOS PAC ID: 2062651185 Enrollment ID: O20130621000455 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Sharon Alissa Johnson Brunson, MA CCC/SLP 397 Brookdale Dr, Orangeburg, SC 29115-3907 Ph: (803) 707-6962 | Ms Sharon Alissa Johnson Brunson, MA CCC/SLP 397 Brookdale Dr, Orangeburg, SC 29115-3907 Ph: (803) 707-6962 |
Annie Samantha Bonnette, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 107 Jade Cir, Orangeburg, SC 29115 Phone: 803-533-8092 | |
Mrs. Angela Tanner Bradley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1064 Oaklane Dr, Orangeburg, SC 29115 Phone: 803-536-0366 | |
S.c. State University Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 College Street, Ne, 300 Colleg Street, Ne, Orangeburg, SC 29117 Phone: 803-536-8073 Fax: 803-533-3627 | |
Communication Station, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1064 Oaklane Dr, Orangeburg, SC 29115 Phone: 803-707-3264 | |
Lawrence Speech Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1408 Russell St, Orangeburg, SC 29115 Phone: 803-378-1796 Fax: 803-937-1938 | |
Ms. Laura A Gearheart, MA CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2717 Fax: 803-395-4376 | |
Dr. Tedro Ramone Rouse, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2828 Lakeside St, Orangeburg, SC 29118 Phone: 803-997-0154 |